OrganizationJay L Jordan M D A Medical CorporationInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8631 W 3rd St, Suite 445e, Los Angeles, CA 90048-5901(310) 854-5493PECOS EnrollmentBased on the most recent information from CMS, provider Jay L Jordan M D A Medical Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1760616999Provider TypeOrganizationFull NameJay L Jordan M D A Medical CorporationSubpartNoEnumeration Date5/1/2009Last Updated5/1/2009Contact InformationPractice LocationPractice Address8631 W 3rd St, Suite 445e, Los Angeles, CA 90048-5901Phone(310) 854-5493Fax(310) 289-7941Mailing LocationMailing Address8631 W 3rd St, Suite 445e, Los Angeles, CA 90048-5901Phone(310) 854-5493Fax(310) 289-7941Authorized OfficialNameJordan, Jay L (President)Phone(310) 854-5493Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer